What to expect on Testosterone Replacement Therapy?

If you are diagnosed with low testosterone, you may be a candidate for TRT. There are different methods of administration of T such as injections, topicals, or implants under the skin. At Sigma Health, regular injections are preferred over other forms of administration as it is easier to titrate your T level, and minimize fluctuations in T levels.
Injections are administered with an insulin-size needle, usually on a weekly basis. Depending on your response, a frequency of every 5 days or twice a week may be necessary to optimize T levels. Such injections of T can be either be performed at Sigma Health or self-administered at home.
TRT is lifelong, and generally the frequency of administration is at least once a week. The goal of treatment is to improve your symptoms by normalizing T levels.
A trial of 6 months is necessary in order to determine if improving T levels improves symptoms. If there is little to no resolution of symptoms, then should consider stopping.
By protocol, routine bloodwork is performed at week 4 to 6, month 3 and month 6 of TRT initiation. Once labs are stable, then labs are performed at a 6 monthly basis. At the outset, it usually takes 6 months to adjust dose and frequency of T administration in order to optimize well-being and performance.